Strengths, Limitations and Future Research Sample Clauses

Strengths, Limitations and Future Research. Service users are admitted and discharged from the recruitment site in this study at a relatively low frequency, as in most forensic mental health settings. As recruitment was also planned for future studies in this thesis (reported in Chapters 6, 7 and 8) this limited the number of potential participants who were available to take part in this pilot study. This may therefore limit the identification of relevant acceptability issues and generalisability to a larger sample of service users. The xxxx approached for participation was specifically chosen as it provided care for service users of various ages, risk levels and at different stages of their care pathway, but future pilot studies of novel remote monitoring approaches would be optimised with larger samples. Acceptability and adherence of to both the ESM and passive remote monitoring procedure was good and was a necessary precondition for the later studies planned in this thesis. However, it is unclear how this may change over longer periods of time, with the data reported in this study indicating a decline in acceptability and adherence towards the end of the study. This has implications for whether remote monitoring may represent a short- or long-term strategy for monitoring risk of aggression and could be a focus for future research. While service users participated in a repeated measures design and provided data across both passive remote monitoring device, this design was not considered feasible for staff participants. Requiring staff to evaluate two devices in addition to their clinical duties was considered too burdensome, reflecting some of the issues raised in the staff focus groups in Chapter 3. Devices were therefore randomly allocated to avoid potential bias, but future research could benefit from repeated measures evaluation of devices.
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